Electronic health records (EHRs) are supposed to make things easier for doctors, improve health outcomes for patients, and create a better experience for everyone. However, most research indicates the opposite. There is a high level of EHR dissatisfaction among practitioners and the impact on patient experience has been underwhelming. So, what has gone wrong?

When EHR system use became mandated, clinicians were expected to experience initial growing pains as they were forced to learn new skills. However, as comfort levels grew, their perceptions were expected to change over time, resulting in better communication and care. Unfortunately, doctors are still complaining about EHRs even after several years of widespread implementation and use. In fact, research shows that EHRs have become a major contributing factor to physician burnout.

The aforementioned Mayo Clinic Proceedings study also found that as many as 84.5% of physicians are using EHRs and the majority of them are not satisfied. Most physicians feel that EHRs are inefficent and require too much manual data entry where time is spent on clerical tasks rather than patient interactions.

Likewise, patients are also not satisfied with EHRs as they notice doctors spending more time looking at the computer screen during their visits. Research shows that gaze time (amount of time the doctor looks at the patient) is directly related to patient satisfaction.

Apart from data entry issues, a RAND study identified many other reasons for EHR dissatisfaction among physicians. For example, most physicians agreed that EHR interfaces were not intuitive, thus hampering their workflow instead of augmenting it. They also complain that EHRs are not implemented well enough to facilitate the proper exchange of information. Many physicians feel overloaded with irrelevant information.

Doctors also noticed that templates provided with EHR systems degraded the quality of their reports. Even more worrisome is that most physicians found that EHRs are not improving over time.

Undoubtedly, these studies indicate the need for a system update and technology that frees doctors from having to spend time on routine clerical or data entry tasks. This technology would ideally enable clinicians to focus on their primary responsibility – carefully listening to, observing, and getting to know their patients so they can provide the highest level of care.

This is where RightPatient can help by providing an AI system that automatically identifies patients when they arrive and then engages with them to collect useful information that is pushed into the EHR system. This enables clinicians to understand much more about a patient’s condition while reducing their data entry burden. With RightPatient, doctors receive concise, relevant, and real-time information regarding their patients to save time, increase efficiency, and improve the patient experience.

The U.S. healthcare system has long suffered from the problem of excessive patient waiting times. In 2015, 32% of visits to the ED resulted in patient wait times of up to an hour. Obtaining an initial outpatient appointment with a physician can take a month or more. The fact is that waiting times can be unbearably long for patients and doctors are often helpless in solving the issue.

Long waiting times can have a negative impact on a patient’s health by causing delays in consultations. Furthermore, wait times reduce patient satisfaction scores with healthcare service providers. Research has shown that patient satisfaction scores were affected across almost every aspect of care delivery when waiting times were long, with patients reporting lower levels of confidence in the care provider. Longer waiting times not only impact overall patient satisfaction, they also negatively affect the way that patients perceive the information, instruction, and care provided by their caregivers and physicians.

Clinics have adopted various methods to improve satisfaction while a patient is waiting for an appointment. These typically involve providing information regarding different disease conditions, tips on practicing a healthy lifestyle, etc.; essentially, they their best to make waiting areas comfortable and informative. Additionally, some clinics use office staff to gather information from the patient. However, in many cases, the information provided by the clinic may not be relevant to the patient. Similarly, gathering information about the patient through staff is an expensive activity with limited benefits.

As we have seen, patient wait times can have a negative impact on both patients and their clinicians. However, what if there was a way to utilize these waiting times more productively? Can patients be engaged in a more meaningful way while they are waiting? This is precisely where RightPatient can help.

RightPatient can help to improve the patient experience and optimize wait times through its autonomous check-in process. When patients arrive for scheduled outpatient visits, RightPatient automatically recognizes them and engages through an AI-driven chat session. This enables patients to learn about their conditions as important clinical information is collected, which is automatically fed into the EHR. The clinical team can review this information prior to the consultation, saving time and increasing efficiency by eliminating the need for manual data entry into the EHR system. Physicians can then spend this time interacting directly with the patient to bolster satisfaction and clinical outcomes.

RightPatient enables doctors to spend more time focused on what they want to be doing – listening to patients, addressing their emotional and physical well-being, and spending less time worrying about data entry into health records. Satisfied and engaged patients also respond more favorably to more personal interactions with their caregivers, creating a win-win environment.

http://www.rightpatient.com/wp-content/uploads/2018/09/dreamstime_xxl_31081668.jpg13672048Mizan Rahmanhttp://www.rightpatient.com/wp-content/uploads/2015/12/RightPatient-Biometric-Patient-Identification-Data-Integrity-Platform.pngMizan Rahman2018-08-14 17:30:142018-09-05 17:51:09Making the most of patient wait times

The US is enduring a massive opioid abuse epidemic. Not only are they widely prescribed, but prescription opioids are now more widely abused than street drugs. If we look at the anatomy of the opioid crisis, it is genuinely frightening. In 2016, 116 people died each day due to opioid overdose, resulting in more than 42,000 fatalities in a single year.

The question is, why is this happening? How are 11.5 million individuals misusing prescription opioids? How is it that each year, 2.1 million people misuse opioids for the first time? It seems that, at present, there is no clear path to stunting this epidemic. Opioid abuse is already costing the US economy more than half a billion dollars annually.

How did we get to this point?

Since the 1990s, the pharmaceutical industry started pushing opioids and assured doctors that these drugs were safe. Consequently, doctors began widespread prescription of these drugs. However, blaming the pharmaceuticals industry and doctors alone ignores many other pertinent factors.

Opioid misuse is not just limited to those living with painful conditions. Many of the prescribed opioids end up in the wrong hands. Many addicted to opiates hide their identity or medical conditions and visit various clinics under different aliases. For doctors, it is challenging to identify the right patient.

How can we reverse the epidemic?

To bend the trend downwards, efforts must be implemented at every level. At the community level, we must educate the public and raise awareness about the health risks of opioid abuse. Policymakers should advance legislation to address the problem. Above all, there is a need to change the way medicine is practiced; healthcare providers must take higher precautions at the clinical level.

Clinicians cannot and should not deprive people in pain from drugs that can bring them needed comfort. However, big data and technology can assist them in differentiating between the right patient and the wrong one. This is where RightPatient can play a vital role. Powered by artificial intelligence, the platform can help clinicians to thwart medical identity fraud and ensure that a patient’s complete and accurate medical history can be retrieved.

By recognizing the correct patient, clinicians can better understand the validity of patient complaints along with a patient’s disease history. When and where was the patient last prescribed an opioid? Did the patient rightly identify himself/herself?

Healthcare in the U.S. is going to see a paradigm shift in the next five years that will move it from a fee-for-service (FFS) payment model towards a value-based model. Simply said, those who produce better results and improve patient quality of care at lower costs will reap higher dividends. This shift will require better use of technology and significant changes to many platforms and their capabilities, including more investment in big data, analytics, and patient matching systems. These investments in population health management technologies will provide the real-time information needed to make more informed decisions.

Population health solutions play a critical role in moving healthcare from a treatment-based to a prevention-based model. These platforms enable providers to better prepare for patient-reported outcomes, provide data regarding social determinants of health and activity-based costing, and match extracted data outcomes with the right patient.

These facts suggest that encounter-based medicine might be contributing to sub-optimal results in the U.S. and there is a need for change. That change is prompting the rise of population health management and data analytics technologies.

The population-based model is based on aggregating patient data across various health information resources, forming a comprehensive, longitudinal health record for each patient, and leveraging analytics to produce insights that clinical teams can use to improve care and lower costs. In addition to health and financial data derived from electronic health records (EHRs) and medical claims, information such as a patient’s socio-economic status, personal support network, and habitat conditions can be useful in building preventative care strategies.

For example, a patient diagnosed as prediabetes would be classified as high-risk in an encounter-based model. However, this does not take into consideration the patient’s lifestyle and behavioral patterns. Many prediabetics can avoid developing diabetes by modifying habits such as diet and exercise. Patients who smoke, abuse drugs, or have a sedentary lifestyle are much more at risk of developing the disease. Identifying these genuinely high-risk patients requires access to accurate data that is linked to the correct record.

Challenges in moving to a population health solution

At present, a tremendous amount of patient data is available but it is not unified – it exists within different institutions and across various platforms. Thus, the available information is very difficult to match with the right patient (if not impossible in some cases) and such data has little practical value. Population health solutions need a system that can match patients with their available data and provide information on the best recommendations for preventative care, helping to improve outcomes and save resources.

Therefore, the most important variable in extracting value from a population health solution is ensuring that a patient’s captured data is matched to the correct record. Better data warehousing and mining capabilities will serve no purpose if healthcare providers lack the ability to match the output with the right patient. At present, not only do patient identification issues exist within a single healthcare institution, but these issues become even worse when patient data is exchanged across multiple systems, with error rates rising to 60%.

In fact, the transition from fee-for-service to value-based healthcare is only going to work if healthcare entities invest in patient matching technology alongside their investments in big data and analytics platforms. These investments should go hand-in-hand since patient matching errors can have such a substantial impact on data quality.

Population health management is among the top six categories in healthcare that are attracting investments from venture capital firms. Other segments include genomics and sequencing, analytics and big data, wearables and biosensing, telemedicine, and digital medical devices.

Thus, the industry is investing in technologies that will play a significant role in value-based care and population health management. However, the success of any population health initiative depends on the right patient being identified every time so that medical records and the corresponding patient data are not mixed-up. Considering the data fragmentation that exists in healthcare and lack of standards around patient identifiers, AI-based systems like RightPatient® are the only way to ensure reliable identification of patients across various data platforms and maximized investment in population health management.

http://www.rightpatient.com/wp-content/uploads/2018/02/pop_health-e1518215478266.jpg451705Mizan Rahmanhttp://www.rightpatient.com/wp-content/uploads/2015/12/RightPatient-Biometric-Patient-Identification-Data-Integrity-Platform.pngMizan Rahman2018-02-09 22:31:572018-02-09 22:34:31How Can You Protect Your Investment in a Population Health Solution?

I’ve visited enough of our customers to know that hospital emergency rooms and free-standing EDs can sometimes be chaotic environments. Unlike most outpatient registration areas, patients who arrive to the ED do not have scheduled appointments and often go through a triage process with a nurse where they are “arrived” within the electronic health record (EHR) system. This is essentially a quick registration that begins the documentation of a patient’s visit information on his/her medical record. Unfortunately, this process often results in what are known as chart corrections.

As one might imagine, a clinician’s primary focus is on the health and safety of the patient. Nurses that triage patients are trying to enter patients into the EHR system so they can receive the appropriate care as quickly as possible. Unfortunately, data entry errors during this process are commonplace. For example, EHR system users may create a “John Doe” or “Jane Doe” medical record if they cannot properly identify the patient. Or, users may mistakenly select the wrong record because it shares a similar name with the patient in need of care.

When EHR users select the wrong patient medical record, all subsequent information pertaining to that visit is entered into that record (sometimes referred to as a medical record “overlay”). This is a data integrity failure and results in data entry errors that need to be resolved with a chart correction. So, a chart correction in the Epic EHR or other EHR systems is the process of fixing a “wrong chart entry” or overlay record that was caused by a patient identification error.

Wrong patient, wrong record data integrity failures within the EHR system can have disastrous consequences. At best, the healthcare provider must spend internal Health Information Management (HIM) resources to perform chart corrections and resolve medical record overlays, costing $60-$100 per hour for an average of 200 hours per overlay record. At worst, wrong patient errors can affect clinical decision making, patient safety, quality of care, and patient lives. This is why organizations like AHIMA have strongly advocated safeguards that healthcare providers can use to prevent medical record mix-ups, improve data integrity, and reduce the risk of adverse events.

RightPatient® is the ideal safeguard to prevent wrong patient medical record errors and chart corrections within Epic and other EHR systems. The AI platform uses cognitive vision to instantly recognize patients when their photo is captured and automatically retrieve the correct medical record. This becomes a seamless module within EHR system workflows so there is no disruption to users.

Customers like University Health Care System in Augusta, GA are effectively using RightPatient® to reduce chart corrections in Epic. In fact, UH saw a 30% reduction in Epic chart corrections within months after implementing RightPatient®.

Healthcare providers using RightPatient® to capture patient photos significantly reduce their risk of data integrity failures. This enhances patient safety and health outcomes while reducing costs – important goals in the age of population health and value-based care.

Aspirin, penicillin, monoclonal antibodies, interventional cardiology, and genome editing have undoubtedly revolutionized medicine. However, while all of these have been breakthroughs in the field of medicine, not much has changed in the way that doctors do their jobs. Patients visit their doctors, the doctors diagnose, they recommend tests, they prescribe drugs, and they are compensated according to the volume of work done or the number of procedures performed.

If medicine is to progress in the 21st century, things have to change at every level, including the way that doctors work and receive compensation, the way they identify the right patient, and the way that patients are treated.

Value-based care is about compensating doctors according to outcomes. This encourages more personal attention to patients and transitions the healthcare system from cure-based to preventive medicine. It is a system in which doctors receive a higher level of compensation for either better outcomes from procedures or enabling patients to avoid health-related problems altogether.

There are several benefits of a healthcare system where the right patient gets the right kind of care.

Value-based care can save patients a lot of money. Putting aside the historical projections of healthcare inflation, the U.S. is also facing major epidemics of chronic, non-communicative diseases like diabetes, high-blood pressure, and cancer. It is no secret that many of these ailments are preventable with timely intervention and/or the correct behavior. Value-based care creates an environment where doctors can help patients to avoid these diseases by intervening at the right time. A doctor would identify the right patient to design a prevention plan before a disease can manifest where things become more complicated and expensive.

Once the right patient, a patient with a high risk of developing a chronic illness, has been identified, the doctor would be encouraged to spend more time with her, teaching her to take better care of herself so that complications can be avoided. There would be a reward system for identifying the right patient and taking timely preventative measures. It would also result in higher patient satisfaction.

A value-based care system would also lower drug costs. Historically, manufacturers decide the price of their medications without taking into consideration the value that a particular drug has in terms of its effectiveness and overall patient wellbeing. A value-based system would also encourage the development of personalized medicine where treatment plans and even pharmaceuticals can be tailored to specific patient needs.

The backbone of the value-based care system would be patient identification and data mining. Many are already demonstrating why medicine should incorporate more data-based modeling to augment physician decision-making. Data mining helps doctors and the healthcare industry as a whole to better understand the outcomes of various therapeutic approaches. Ultimately, it can help to create the right kind of individualized solution for the right patient.

Unfortunately, realizing optimal results from data mining and value-based care has its challenges, especially as healthcare organizations start mining data that has been accumulated over long periods of time. On average, at least 8% of hospital patient records consist of duplicate data. Thus, an intelligent way to sort out these duplications and identify the right patient is desperately needed.

It is stated that value-based care is about the right patient getting the “right care, in the right place and at the right time.” Instead, the maxim should be, “RightPatient® enables the right care, in the right place, at the right time.”

RightPatient® guarantees that a patient medical record is never mixed up with another record and the hospital ecosystem will always recognize the patient with the help of cognitive vision. Mistakes from common patient names, fraud, human error and other issues are always prevented.

As we all know, chains are only as strong as their weakest link. In many hospitals or medical institutions, there is an urgent need to strengthen this weakest link throughout the entire system – overcoming the errors of false identity and data duplication with RightPatient. Only then can the benefits of value-based care and data mining be fully realized.

Hollywood has created several films featuring a person that was wrongly informed about cancer or another fatal disease with the patient being told that they only have a few months/days left to live. Upon hearing this news, the patient goes on a spending spree and adventure only to discover in the end that things have been mixed up. This might make for a great movie but in the real world, if such a patient mix-up happens, the outcomes may be far worse.

But just how frequently does this medical record mix-up problem happen in real life?

Reports indicate that medical errors due to patient mix-ups are a recurrent problem. Consequently, a wrong person may be operated on, the wrong leg may be amputated, the wrong organ may be removed, etc. In fact, CNN reported that in 6.5 years, in Colorado alone, more than 25 cases of surgery on the wrong patient have been reported, apart from more than 100 instances of the wrong body parts being operated on.

It would be challenging to estimate the true total number of patient mix-ups simply because the vast majority of them go unreported until something untoward happens. Even in cases where complications do occur, most medical organizations would not be eager to publicize them.

Today, it is widely accepted that medical errors are the third largest killer in the U.S.; that is, far more people die of medical errors compared to diseases like pneumonia or emphysema. It is now estimated that more than 700 patients are dying each day due to medical mistakes in U.S. hospitals. This figure clearly indicates that medical errors often occur even though a fraction of them will have fatal outcomes. It also tells us that cases of patient mix-ups may be shockingly high and indeed underreported.

The U.S. healthcare system is extremely complex, making it challenging for a single solution to resolve this issue. There have been lots of efforts to implement a unique identity number for each patient (a national identifier) but political roadblocks have proven difficult to navigate. The chances are bleak that any such national system would be created, as patients remain profoundly worried about the privacy of their data.

At present, perhaps the best option is that each hospital finds its own way to solve this problem by developing some internal system to make sure that patient mix-ups don’t happen. Or, a better idea is to leave this task to the professional organizations that specialize in the business of improving patient identification. The RightPatient® Smart App is a perfect example of an innovative solution that is powered by deep learning and artificial intelligence to turn any device like a tablet or smartphone into a powerful tool to completely eliminate the problem of mistaken patient identity.

Technological solutions are often meant to augment human efforts, not to replace them. Here are some of the ways to avoid patient mix-ups:

Always confirm two unique patient identifiers within the EHR (Electronic Health Record), like patient name and identity number. Though this is a standard practice, many mistakes still occur due to similar first or last names. Thus, an app like RightPatient can help to eliminate the chances of such an error.

Two identifications should be used for all critical processes.

There must be a system to alert staff if two patients have a similar first or last name.

Avoid placing patients with similar names in the same room.

Although patient misidentification and medical record mix-ups continue to plague the U.S. healthcare system, there is hope to address this serious issue with solutions like RightPatient. Now, we just need healthcare providers to make this a priority and take action.

It’s no secret that patient identification is a challenge, but unfortunately, a frightening number of “wrong patient, right procedure” mix-ups still occur every day in hospitals and health systems around the country.

For example, an article published on bostonglobe.com highlighted a case at UMass Memorial Medical Center where a patient was mistakenly diagnosed with cancer and underwent unneeded medical procedures before hospital staff discovered a mix-up with the patient’s CT scan results. And, according to the article, this is far from an isolated case of mistaken patient identity at this hospital.

The good news is that there are tools that can help hospitals and health systems prevent such dangerous mistakes.

The RightPatient® Cloud, for example, is designed to prevent mix-ups and cases of mistaken identity by streamlining patient identification procedures and reducing the risk of human error—all while dramatically increasing the chances that that the right patient receives the right treatment from the right providers.

Most hospitals and health systems rely solely on patient identification procedures that require healthcare staff to use two pieces of patient information, such as full name and date of birth, to match patients to their medical records.

However, in today’s bustling healthcare atmosphere, it can be easy for healthcare staff to forget to perform proper patient identification procedures. And, many patients do not speak English, are unconscious or have similar names and birth dates, all of which increase the risk of medical mix-ups.

Healthcare regulators and public health officials are increasingly sending the message to hospitals and health systems that the time to make changes to patient identification procedures is now—before a potentially disastrous mistake occurs.

By implementing the RightPatient system, hospitals can eliminate patient identification guesswork for healthcare staff. That’s because the RightPatient system captures a photo of each patient upon admission to the hospital.

After the patient is enrolled in the system, the patient’s medical record is locked and can only be opened using the patient’s unique biometric identifiers. The system can be installed on any smartphone or tablet, making it portable enough to meet the unique needs of staff and patients.

Although hospitals are spending millions of dollars on electronic health record systems, population health software and other advanced equipment to protect patients and streamline operations, most of these systems overlook a fundamental aspect of patient safety: Ensuring that healthcare staff are accessing the right records and providing the right care to the right patient.

The bottom line is that healthcare consumers go to hospitals to get well and hard-working doctors and nurses do everything in their power to make that happen. When patients are not identified correctly, bad things happen.

The sad fact is that one simple medical record mix-up resulting from a patient mismatch is all that it takes to throw a patient and their family into distress, negate the hard work and dedication of the doctors and nurses who are trying to help, and damage the reputation of the hospital where the incident occurred.

With RightPatient, all that is required to eliminate these risks is a simple snap of a camera when a patient walks into the hospital. That doesn’t sound like too much to ask, does it?

Announcing a new partnership with CrossChx to help expand the use of biometric patient ID tech in healthcare.

In case you missed it, on Friday we officially announced a new and exciting partnership agreement with CrossChx. Under the terms of the partnership, CrossChx customers can easily transition their existing SafeChx biometrics solution to RightPatient, while continuing to utilize other CrossChx products such as Olive artificial intelligence.

The healthcare industry continues to suffer the ill consequences of inaccurate patient identification, jeopardizing patient safety and the quality of care. RightPatient helps to alleviate patient misidentification and instantly and accurately identifies patients by capturing their photo. This photo is linked to a patient’s unique medical record and travels with them throughout a healthcare provider’s network to ensure safety during care delivery. Plus, clinicians at hospitals that use our patient identification service have commented that they love having a patient’s photo before administering services to help humanize care delivery and help patients feel welcome instead of just thinking they are a name and a number. We love to hear this!

Take notice because the winds of change are shifting for patient identification in healthcare. More providers recognize and understand the advantages and benefits of modernizing their patient ID technology and many are taking a very close look at the advantages that our service offers. Keep in mind that implementing a biometric patient identification service offers additional advantages above and beyond patient safety – most notably improvement in revenue cycle management, increases in patient data integrity, and prevention of fraud and medical identity theft at the point of service.

Amidst the hoopla and chaos of this year’s HIMSS conference in Orlando, we introduced a new feature for our cloud-based RightPatient biometric patient identification solution: the RightPatient Smart App. This is kind of a big deal for the healthcare industry because the RightPatient Smart App has the power to turn any smartphone or tablet into a powerful patient recognition device.

In other words, this is anything but a ho-hum development in the concerted effort to adopt more modern patient ID technology. Allow me to explain…

As we have written about before, increased recognition of the critical importance of accurate patient identification for patient safety has played an important role in our own research and development of the RightPatient cloud biometric patient identification solution. I don’t think I’m alone in saying that most patients see patient identification as the part of our healthcare experience that starts with sitting in front of a registrar at a healthcare facility so they can obtain our insurance information and make sure we are who we claim to be.

However, anyone who has spent time as a patient in a healthcare environment knows that most medical facilities don’t stop with establishing accurate identification at the point of registration. You may have your ID checked before medication disbursement, prior to the administration of a medical procedure, or perhaps just before surgery. This is important for patient safety, and to reduce the risk of adverse events from wrong patient procedures.

The problem is that many patient identification mistakes are still regularly made across the healthcare industry. This can cause irreparable harm to patients and providers in many cases. Fortunately, we provide the most innovative technology in the market to solve this problem.

For example, the RightPatient Smart App is a modern, mobile patient identification solution that fills an important void to help healthcare organizations improve compliance and patient safety. Here is a breakdown of the Smart App features and their value to patient identification in healthcare:

Mobile patient ID ubiquity: As mentioned earlier, the RightPatient Smart App turns any smartphone or tablet into a powerful mobile patient identification tool. Is this a big deal? Absolutely. The Smart App improves the ability of clinicians and others responsible for care administration to be responsible stewards of patient safety and compliance. It can be used as a multi-factor authentication tool along with another form of identification or act as a standalone patient ID device. Recognize patients anywhere, anytime, with any smart device.

Identifying unconscious patients: There are few things in healthcare more risky than treating an unconscious patient without access to their medical history. The RightPatient Smart App allows clinicians to easily identify unconscious patients through their smartphone to retrieve the patient’s medical record. The Smart App opens the door for accurate patient identification in traditional and non-traditional settings (e.g. – oncology, medical records release, EMTs, home health) – places where perhaps verifying a patient’s identity is required but may not have traditionally been on the compliance radar. The Smart App fills in the patient ID compliance holes that exist in a healthcare organization – enabling higher levels of patient safety and helping to reduce medical errors and risk.

Medical errors caused by patient misidentification will continue to rise with increased data sharing and human error. In fact, the ECRI institute recently included patient identification errors in its most recent annual top-10 list of patient safety concerns. Powered by the RightPatient cloud platform, the Smart App will strengthen patient safety, reduce risk, and more effectively humanize the healthcare experience – a critical element of improving patient satisfaction and empathetic care delivery. Design and development of this new feature was a direct result of our 15 years of experience in biometric technology, listening to the needs of our customers, and delivering a practical solution that increases the power and reach of our industry-leading patient identification technology. You asked. We listened.

Have questions about the RightPatient Smart App? Drop us an email at info@rightpatient.com or visit here to request a free demo.